{"id":23866,"date":"2025-09-03T13:36:23","date_gmt":"2025-09-03T11:36:23","guid":{"rendered":"https:\/\/dev.lp-form.com\/al-alem\/?page_id=23866"},"modified":"2025-12-16T13:35:24","modified_gmt":"2025-12-16T11:35:24","slug":"implant-questionnaire","status":"publish","type":"page","link":"https:\/\/al-alem.com\/en\/build-your-teeth\/implant-questionnaire\/","title":{"rendered":"Implant Questionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"23866\" class=\"elementor elementor-23866\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d2cf915 e-flex e-con-boxed e-con e-parent\" data-id=\"1d2cf915\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2bd08d85 elementor-widget elementor-widget-heading\" data-id=\"2bd08d85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><span style=\"color: #999999\">Implant<\/span>   Questionnaire\n\n\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-44c417e1 elementor-widget elementor-widget-heading\" data-id=\"44c417e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">This questionnaire will help us understand your needs and provide you with the best possible information regarding Dental Implants.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1214dce e-flex e-con-boxed e-con e-parent\" data-id=\"1214dce\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d0ad241 elementor-widget elementor-widget-shortcode\" data-id=\"d0ad241\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"implant\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-23876\">\n\t\t\t\t#wpforms-23876 {\n\t\t\t\t--wpforms-field-border-radius: 0px;\n--wpforms-field-border-color: #cccccc;\n--wpforms-field-border-color-spare: #cccccc;\n--wpforms-field-text-color: #444444;\n--wpforms-label-color: #262626;\n--wpforms-label-sublabel-color: #7f7f7f;\n--wpforms-label-error-color: #ff0000;\n--wpforms-button-border-style: solid;\n--wpforms-button-border-radius: 0px;\n--wpforms-button-background-color: #dddddd;\n--wpforms-button-border-color: #cccccc;\n--wpforms-button-text-color: #666666;\n--wpforms-page-break-color: #dddddd;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 14px;\n--wpforms-label-size-line-height: 17px;\n--wpforms-label-size-sublabel-font-size: 13px;\n--wpforms-label-size-sublabel-line-height: 16px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-23876\"><form id=\"wpforms-form-23876\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"23876\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/23866\" data-token=\"b46a6482c886f0d34753181e83089b78\" data-token-time=\"1776174879\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-23876-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-23876-field_1\" >What your looking<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-23876-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-23876-field_22-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">How many teeth are you looking to replace? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-23876-field_22\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_22_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"One tooth: I need to replace a single missing tooth.\" aria-errormessage=\"wpforms-23876-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_22_1\">One tooth: I need to replace a single missing tooth.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_22_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"Several teeth: I have multiple missing teeth in different areas.\" aria-errormessage=\"wpforms-23876-field_22_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_22_2\">Several teeth: I have multiple missing teeth in different areas.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_22_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"All teeth in an arch: I need to replace all teeth in my upper or lower jaw.\" aria-errormessage=\"wpforms-23876-field_22_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_22_3\">All teeth in an arch: I need to replace all teeth in my upper or lower jaw.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_22_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"All teeth in both arches: I need to replace all teeth in both my upper and lower jaws.\" aria-errormessage=\"wpforms-23876-field_22_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_22_4\">All teeth in both arches: I need to replace all teeth in both my upper and lower jaws.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_22_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"Unsure: I&#039;m not sure how many teeth need to be replaced.\" aria-errormessage=\"wpforms-23876-field_22_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_22_5\">Unsure: I'm not sure how many teeth need to be replaced.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-23876-field_23-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">What is the current condition of your missing tooth\/teeth area? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-23876-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_23_1\" name=\"wpforms[fields][23][]\" value=\"Recently lost: The tooth\/teeth were lost recently, and the area is healthy.\" aria-errormessage=\"wpforms-23876-field_23_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_23_1\">Recently lost: The tooth\/teeth were lost recently, and the area is healthy.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_23_2\" name=\"wpforms[fields][23][]\" value=\"Long-term missing: The tooth\/teeth have been missing for a long time, and there might be bone loss.\" aria-errormessage=\"wpforms-23876-field_23_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_23_2\">Long-term missing: The tooth\/teeth have been missing for a long time, and there might be bone loss.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_23_3\" name=\"wpforms[fields][23][]\" value=\"Damaged\/Decayed: The tooth\/teeth are still present but severely damaged or decayed and need extraction.\" aria-errormessage=\"wpforms-23876-field_23_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_23_3\">Damaged\/Decayed: The tooth\/teeth are still present but severely damaged or decayed and need extraction.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-23876-field_23_4\" name=\"wpforms[fields][23][]\" value=\"Unsure: I&#039;m not sure about the current condition of the area.\" aria-errormessage=\"wpforms-23876-field_23_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-23876-field_23_4\">Unsure: I'm not sure about the current condition of the area.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-23876-field_12-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><div id=\"wpforms-23876-field_12\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-23876-field_12-error\"><p><span style=\"font-weight:400\">For a single recently lost tooth, a dental implant is an ideal solution. It acts as a natural tooth root, preserving bone structure and providing a stable foundation for a crown. This option offers excellent aesthetics and long-term durability, seamlessly blending with your existing teeth.<\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-23876-field_13-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"13\" style=\"display:none;\"><div id=\"wpforms-23876-field_13\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-23876-field_13-error\"><p><span style=\"font-weight:400\">When several teeth have been missing for a long time, there might be some bone loss. In such cases, we may recommend bone grafting procedures to ensure sufficient bone volume for successful implant placement. Multiple implants can then support a bridge or individual crowns, restoring function and appearance.<\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-23876-field_14-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"14\" style=\"display:none;\"><div id=\"wpforms-23876-field_14\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-23876-field_14-error\"><p><span style=\"font-weight:400\">If all teeth in an arch are severely damaged or decayed, a full arch rehabilitation with dental implants can transform your smile and chewing ability. This often involves extracting the remaining teeth, followed by immediate or delayed implant placement and a fixed prosthetic solution like an All-on-4 or All-on-6 bridge.<\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-23876-field_15-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"15\" style=\"display:none;\"><div id=\"wpforms-23876-field_15\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-23876-field_15-error\"><p><span style=\"font-weight:400\">Replacing all teeth in both arches is a comprehensive procedure that requires careful planning. We will conduct a thorough examination, including 3D imaging, to assess your bone density and overall oral health. Based on this, we will recommend the most suitable implant solution, such as full-mouth implants with fixed bridges or removable overdentures, to restore your complete smile and oral function.<\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-23876-field_17-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"17\" style=\"display:none;\"><div id=\"wpforms-23876-field_17\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-23876-field_17-error\"><p><span style=\"font-weight:400\">Replacing all teeth in both arches is a comprehensive procedure that requires careful planning. We will conduct a thorough examination, including 3D imaging, to assess your bone density and overall oral health. Based on this, we will recommend the most suitable implant solution, such as full-mouth implants with fixed bridges or removable overdentures, to restore your complete smile and oral function.<\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-23876-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-23876-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-23876-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"23876\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/pages\/23866\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-23876\" class=\"wpforms-submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Book Appointment<\/button><img decoding=\"async\" src=\"https:\/\/al-alem.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Implant Questionnaire This questionnaire will help us understand your needs and provide you with the best possible information regarding Dental Implants.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":23859,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-23866","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/pages\/23866","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/comments?post=23866"}],"version-history":[{"count":8,"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/pages\/23866\/revisions"}],"predecessor-version":[{"id":24882,"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/pages\/23866\/revisions\/24882"}],"up":[{"embeddable":true,"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/pages\/23859"}],"wp:attachment":[{"href":"https:\/\/al-alem.com\/en\/wp-json\/wp\/v2\/media?parent=23866"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}